Hikari Adult & Older Adult Psychological Care Inc. | |
1015 Fremont Ave. 2nd Fl #9 South Pasadena CA 91030 | |
(323) 972-7459 | |
(888) 636-1331 |
Full Name | Hikari Adult & Older Adult Psychological Care Inc. |
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Speciality | Psychologist |
Location | 1015 Fremont Ave., South Pasadena, California |
Authorized Official Name and Position | Emi Iijima (PRESIDENT/ CEO/ CLINICAL DIRECTOR) |
Authorized Official Contact | 3239727459 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hikari Adult & Older Adult Psychological Care Inc. 1015 Fremont Ave. 2nd Fl #9 South Pasadena CA 91030 Ph: (323) 972-7459 | Hikari Adult & Older Adult Psychological Care Inc. 1015 Fremont Ave. 2nd Fl #9 South Pasadena CA 91030 Ph: (323) 972-7459 |
NPI Number | 1023628732 |
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Provider Enumeration Date | 08/06/2020 |
Last Update Date | 06/30/2021 |
Certification Date | 06/30/2021 |
Medicare PECOS PAC ID | 4688091515 |
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Medicare Enrollment ID | O20200824002761 |
Identifier | Type | State | Issuer |
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1023628732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Emi Iijima |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154551760 PECOS PAC ID: 1456583152 Enrollment ID: I20140411000690 |
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